Why the study?
Advanced endovascular techniques have supplanted much aortic surgery, making it essential for surgeons-in-training to learn and hone skills in open aortic surgery for complex aortoiliac occlusive disease.
This review provides a comprehensive overview of operative approaches and technical tips for open aortic reconstruction in complex aortoiliac occlusive disease.
Supports emphasis on open aortic surgery training amid endovascular dominance; leaves open optimal curriculum integration for complex aortoiliac disease.
Open aortic reconstruction for complex aortoiliac occlusive disease is a time-honored and durable solution. Symptoms manifest as disabling claudication or chronic limb threatening ischemia in patients with multilevel disease. Advanced endovascular techniques have supplanted a large volume of aortic surgery. Nonetheless, it is essential for surgeons-in-training to learn and hone their skills in open aortic surgery. Comprehensive literature review over the past 50 years was conducted on the topics of "aortic occlusive disease," "aortic bypass," and "iliofemoral bypass." Pertinent articles were selected for inclusion as references. The technical aspects of the various aortoiliac exposures are described and selected case images were chosen from the senior author's experience. This review paper details the various operative approaches to open aortoiliac revascularization with emphasis on "tips and tricks" for the learner.
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Ilagan‐Ying et al. (2023) studied this question.
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